Table 2 PEN-3 table of analysis showing findings in each domain

Relationship/

Expectation

Domains

Positive

Existential

Negative

Perceptions

-Perceived the card to be beneficial.

-Understood the purpose of the card.

-Not sure of the scope of information in the card.

-Not certain why the card is free.

-Not sure if the smart card program will apply to their babies.

-Thoughts that the card gives access to free medical screening.

-Did not understand why they were selected.

-Afraid they received the card because of an illness.

Enablers

-The benefits that they received by using the card: card reduced the time spent at the facility, ease of utilizing services available at the clinic, reduced cost by not repeating laboratory investigations that have results stored on the cards.

-Demand for use of the card by healthcare worker.

-Availability of LGA Research Assistants and healthcare workers to give information and clarification.

-Card can be used in any of the participating facilities.

-The positive experience from the “Baby Shower” program

-No cultural belief against the use of the cards.

-Not having had a hospital appointment since given the card.

-Cost of treatment at the health facilities.

-Use of the card by someone other than client.

-Not knowing how to use the card.

-Not knowing the card can be used at other participating health facilities.

-Forgetting to go to the hospital with the cards.

Nurturers

-Approval from husbands

-Support from household members

-Family accepts use of orthodox medicine/healthcare

-Negative ideas from families and neighbours